| NPI | 1467824573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN 9200170) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9200170) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |